Infrequent Reservoir-Related Complications of Urologic Prosthetics: A Case Series and Literature Review

Sexual Medicine
Tao CuiMajid Mirzazadeh

Abstract

Complications related to inflatable penile prosthesis (IPP) and artificial urinary sphincter (AUS) reservoirs are rare, potentially life threatening, and poorly described in the literature. As more devices are implanted, the incidence of reservoir-related complications may increase, and it will be important to recognize the relevant signs and symptoms. We present a case series of reservoir-related complications presenting to our institution for treatment. We also reviewed all accounts of reservoir-related complications within the urologic literature. Three cases of reservoir-related complications are presented. Case 1 involves erosion of an intact AUS reservoir into the cecum of a patient with a history of myelomeningocele and bladder augmentation. Case 2 involves an IPP reservoir causing vascular compression, resulting in open exploration and repositioning of the reservoir. Case 3 involves intraperitoneal migration of a retained IPP reservoir to a subhepatic area, which was then removed laparoscopically. Literature review yielded descriptions of eight cases of intestinal complications, five cases of vascular complications, but zero reports of migration to a subhepatic area. Other notable complications include 20 reported cases...Continue Reading

References

Jul 13, 2004·The Journal of Urology·Atul RajpurkarChirpriya Dhabuwala
Sep 17, 2004·The Journal of Urology·Xiang YuanDavid M Raezer
Dec 19, 2008·The Journal of Sexual Medicine·Federico Deho'Francesco Montorsi
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Dec 22, 2009·Neurourology and Urodynamics·Sender HerschornUNKNOWN Committee of the International Consultation on Incontinence
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Nov 16, 2011·The Journal of Sexual Medicine·Gerard D HenryAndrew C Kramer
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Citations

Apr 15, 2018·Current Urology Reports·Travis J PagliaraAllen F Morey
Nov 21, 2020·The Journal of Sexual Medicine·Mehraban KavoussiAllen F Morey

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